Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Diego Rivera, MDPA

Individual provider Family Medicine Physician · NPI 1104984988

Dr. Diego Rivera, MDPA is a General Practice in Lubbock, Texas. Qualified in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
53
Licensed in
TX
In the registry since
2006
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Practice location Address checks out

111 N University Ave
Lubbock, TX 79415-2844
Phone: (806) 747-4415
Fax: (806) 747-1304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G1757 (TX)

Record details

NPI number1104984988
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPA
Sole proprietorYes
NPI enumeratedDecember 5, 2006
Last updated in NPPESDecember 14, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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